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Deficiency Records for Grundy Care Center
A list of the most recent deficiencies for Grundy Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Grundy Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-10-16 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-08-17 | 2023-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-17 | 2023-09-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-17 | 2023-09-12 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-08-17 | 2023-09-12 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-08-17 | 2023-09-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-17 | 2023-09-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-17 | 2023-09-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-17 | 2023-09-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-17 | 2023-09-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-09-12 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-08-17 | 2023-09-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-17 | 2023-09-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-17 | 2023-09-12 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-08-15 | 2023-08-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-15 | 2023-08-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-15 | 2023-08-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-15 | 2023-08-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-06 | 2023-05-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-06 | 2023-05-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-06 | 2023-05-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-01 | 2022-09-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-01 | 2022-09-23 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-05 | 2022-08-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-07-05 | 2022-08-05 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-07-07 | 2022-07-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-07 | 2022-07-28 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-07-07 | 2022-07-28 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-07-07 | 2022-07-28 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-07-07 | 2022-07-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-07 | 2022-07-28 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-07-07 | 2022-07-28 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-07-05 | 2022-07-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-05 | 2022-07-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-07-05 | 2022-07-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-05 | 2022-07-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-05 | 2022-07-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-05 | 2022-07-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-05 | 2022-07-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-05 | 2022-07-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-07-05 | 2022-07-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-05 | 2022-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-05 | 2022-07-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-05 | 2022-07-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-05 | 2022-07-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-03-01 | 2021-04-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-02-25 | 2021-03-26 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-02-25 | 2021-03-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-01 | 2021-03-25 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-01 | 2021-03-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-01 | 2021-03-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-01 | 2021-03-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-03-01 | 2021-03-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-03-01 | 2021-03-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-01 | 2021-03-22 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-01 | Not Fixed | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-08-01 | Not Fixed | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-08-01 | Not Fixed | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-01 | Not Fixed | Y |
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